MODERN PODIATRY, LLC


Address: 255 W Lebanon Ste 106, Frisco, TX 75036-3412
Phone: 9726457654

MODERN PODIATRY, LLC (NPI# 1629699798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629699798
Entity Type Organization
Organization Name MODERN PODIATRY, LLC
Other Organization Name MODERN PODIATRY: FOOT & ANKLE CLINIC
Practice Address 255 W Lebanon Ste 106
Frisco
TX 75036-3412
Mailing Address 5729 Lebanon Rd Ste 144328
Frisco
TX 75034-7260
Practice Telephone 9726457654
Mailing Telephone 9726457654
Enumeration Date 2020-04-30
Last Update Date 2020-06-10
Authorized Official Name DR. WOOJUNG MICHELLE LEE (DOCTOR/FOUNDER)
Authorized Official Telephone 9726457654
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers

Other Provider/Organization Names

Other Name Type Code
Modern Podiatry: Foot & Ankle Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811538390 Modern Podiatry, LLC Clinic/Center 990 Bear Creek Blvd Ste E, Hampton, GA 30228-1864 2019-10-04

Office Location

Street Address 255 W LEBANON STE 106
City FRISCO
State TX
Zip Code 75036-3412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912352477 Woojung Michelle Lee Podiatrist 255 W Lebanon Ste 106, Frisco, TX 75036-3412 2016-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053962761 Gerryl Landry Krilic Nutritionist Friscofit City Ambassador Health Coaching & Wellness, 5410 Beacon Hill Drive, Frisco, TX 75036 2019-09-24
1275014862 Chrissie Gutierrez Physical Therapy Assistant 11705 Cape Cod Springs Dr, Frisco, TX 75036 2018-08-22
1992282354 Sahn & Kahng, Pllc Physical Therapist 425 Old Newman Road, Ste 401, Frisco, TX 75036 2018-07-27
1447886882 Mellie Lindskog Registered Nurse 2766 Sparks Dr, Frisco, TX 75036-0522 2020-03-17
1043810385 Nancy Carol Nielsen Registered Nurse 2846 Sparks Dr, Frisco, TX 75036-0523 2020-10-27
1548812522 Jaime Michise Speech-Language Pathologist 1751 Cedar Ranch Rd, Frisco, TX 75036-1098 2019-07-10
1942369665 Thu H Shioya Optometrist 2201 Packing Iron Dr, Frisco, TX 75036-1375 2006-12-08
1013561778 Joslyn Love Technician, Other 1228 Timber Ln, Frisco, TX 75036-1743 2019-07-30
1598365439 Amy Mei Tran Pharmacist 355 Stonebrook Pkwy, Frisco, TX 75036-3076 2020-10-29
1134729460 Emily Binwhe Hong Pharmacist 355 Stonebrook Pkwy, Frisco, TX 75036-3076 2020-10-27
Find all providers in zip 75036

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982179974 Anadel Professionals LLC Podiatrist 3140 Legacy Dr Ste 330, Frisco, TX 75034-9383 2018-10-05
1912352477 Woojung Michelle Lee Podiatrist 255 W Lebanon Ste 106, Frisco, TX 75036-3412 2016-05-03
1740609882 Premier Foot & Ankle, Pllc Podiatrist 9359 Legacy Dr Ste 300b, Apt 2103, Frisco, TX 75033-6712 2014-04-15
1841630225 Andrew Steven Bernhard Podiatrist 842 Summit Blvd, #15, Frisco, CO 80443 2013-06-28
1104183391 Rebecca Wiesner Podiatrist 5375 Coit Rd Ste 100, Frisco, TX 75035-4911 2012-04-12
1326602426 Interventional Partners, LLC Podiatrist 9359 Legacy Dr Ste 300b, Frisco, TX 75033-6726 2019-04-24
1699120980 Matt Dane Ramirez Podiatrist 9359 Legacy Dr, 300b, Frisco, TX 75033-6712 2016-04-25
1659791168 Kaitlyn Bernhard Podiatrist 842 Summit Blvd, Frisco, CO 80443-5882 2014-04-23
1528484433 Katherine Walters Freeland Podiatrist 9359 Legacy Dr, Suite 300b, Frisco, TX 75033-6712 2014-03-16
1902149370 Anthony Brockington Podiatrist 5375 Coit Rd Ste 100, Frisco, TX 75035-4911 2013-04-03
Find all providers in FRISCO

Competitor

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City FRISCO
Zip Code 75036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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